Individual provider Active NPI

Julie A Weber, O.D.

  • Optometrist
  • Corvallis, OR
National Provider Identifier
1265482947
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2495T Issued in OR
Practice address
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone
(541) 754-1150
NPI assigned
May 11, 2006
Last updated
Jun 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2495T OR Primary

Addresses

Primary practice location

444 NW Elks Dr
Corvallis, OR 97330-3745

Mailing address

444 NW Elks Dr
Corvallis, OR 97330-3745

Other identifiers 1

IdentifierTypeStateIssuer
119508MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000876 OR Practitioner - Optometry 9830214816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

227 NW 3Rd St
Corvallis, OR 97330-4801
Phone (541) 757-1120

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
84.81
Promoting interoperability
100
Improvement activities
40
Cost
75.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2495TORMDOptometrist
2495ORMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Corvallis Clinic P C Optometrist CurrentSince Feb 1, 1997 Accepting new patients
Eyecare Associates PC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Bridgeport Eye Physicians, LLC Optometrist PastSince Aug 1, 2025 Accepting new patients

Locations

2119 Pacific Blvd SW
Ste 101
Albany, OR 97321
Phone (541) 928-2020

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256

227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120

2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1265482947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745",
            "telephone_number": "541-754-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2495T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119508",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.